Provider Demographics
NPI:1730413030
Name:LUFFY, NATALIE MARIE (MPA-C)
Entity type:Individual
Prefix:MS
First Name:NATALIE
Middle Name:MARIE
Last Name:LUFFY
Suffix:
Gender:F
Credentials:MPA-C
Other - Prefix:MISS
Other - First Name:NATALIE
Other - Middle Name:MARIE
Other - Last Name:CRESCENZE
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:MPA-C
Mailing Address - Street 1:500 BLAZIER DR
Mailing Address - Street 2:
Mailing Address - City:WEXFORD
Mailing Address - State:PA
Mailing Address - Zip Code:15090-9528
Mailing Address - Country:US
Mailing Address - Phone:412-578-1152
Mailing Address - Fax:412-605-6669
Practice Address - Street 1:500 BLAZIER DR
Practice Address - Street 2:
Practice Address - City:WEXFORD
Practice Address - State:PA
Practice Address - Zip Code:15090-9528
Practice Address - Country:US
Practice Address - Phone:412-578-1152
Practice Address - Fax:412-605-6669
Is Sole Proprietor?:No
Enumeration Date:2009-09-21
Last Update Date:2020-10-12
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
PAMA052278363AM0700X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363AM0700XPhysician Assistants & Advanced Practice Nursing ProvidersPhysician AssistantMedical
Provider Identifiers
StateIdentifier IDID TypeIssuer
PA12264525OtherCAQH
PA228161PL2Medicare PIN